Smoking cessation and prevention of mental health problems: Discussing two ongoing projects
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Transcript of Smoking cessation and prevention of mental health problems: Discussing two ongoing projects
Smoking cessation and prevention of mental health problems:
Discussing two ongoing projects
Michael Levin, Jacqueline Pistorello, Steven Hayes, John Seeley, Jennifer Plumb,
Douglas Long & Roger Vilardaga
e-ACT
• Benefits of online interventions
• Potential research opportunities for ACT– Component/dismantling– Mediation– Treatment matching/tailoring– Quality improvement– Stepped care
Online Smoking Cessation Program
• Prevalent and costly problem
• Evidence for efficacy of ACT
• Potential to conduct additive/dismantling studies
Method
• Participants– Current smoker interested in quitting– 18 or older
• Randomized to intervention or 1 week waitlist
• Online assessments at pre, post, 1-6 week follow up
Intervention Overview
• 45 minute intervention combining video, audio narration, graphics, and worksheets
• Targeted values– Defining values (i.e., values as a direction)– Clarifying values (i.e., 80th birthday)– Linking values to goals (i.e., identifying alternative
behaviors to smoking)– Using values to guide actions in the moment (i.e., values
card)– Using values to support continued abstinence (i.e.,
gardening metaphor
Arriving at East
Welcome to East!
Population: You!
What Do You Want On Your Tombstone?
How People Relate to Their Computers
There’s
some-
thing
wrong
with me
I’ll never be able to quit
Where the Programming Came From
• Your programming comes from your experiences throughout life
• You can’t delete your programming
• You can choose how close you sit to the screen
Don’t Think of XDo
n’t t
hink
abou
t sm
okin
g I keep
thinking of
smoking!!!
I’m doing a good job of
not thinking about
smoking
Did I think about
smoking?
Potential Issues
• Difficulty with recruitment and attrition
• Problems with the video and website
ONLINE PREVENTION PROGRAM FOR COLLEGE STUDENTS
Online Prevention Program
• High rates of mental health problems in college students
• Experiential avoidance as a core common process
• Can ACT prevent mental health problems?
• Benefits of an online program
Study Overview
• SBIR-Funded– Working with a media developer
• Phase I: – Focus groups– Interface design testing– RCT
Proposed Program
• Develop 3 sessions targeting acceptance, defusion and values
• Multimedia (video, graphics, animation, audio narration, interactive content)
Potential Issues
• Targeting for college students and non-clinical population
• Challenges with commercialization
• Working with media developers
Future Directions for e-ACT
• How can we implement “low intensity” ACT?
• How can we collaborate in developing online interventions?